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Smith & Smith Endodontics, P.C.

Details

Name: Smith & Smith Endodontics, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 29 Mar 1996 (29 years ago)
Entity Number: 000-178-644
Register Number: 000178644
County: Lauderdale
Place of Formation: Lauderdale County
Principal Address: FLORENCE, AL
Registered Office Street Address: 1910 BRUIN DRFLORENCE, AL 35630
Registered Office Street Address ZIP Code: 35630
Authorized Capital: $10
Paid Share Capital: ----

Activities ENDODONTICS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497974547 2007-04-25 2020-08-22 1910 BRUIN DR, FLORENCE, AL, 356306717, US 1910 BRUIN DR, FLORENCE, AL, 356306717, US

Contacts

Phone +1 256-767-1882

Authorized person

Name DR. EDWARD WILDER SMITH JR.
Role OWNER
Phone 2567671882

Taxonomy

Taxonomy Code 1223E0200X - Endodontist
License Number 4468
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SMITH & SMITH ENDODONTICS, P. C. RETIREMENT PLAN 2021 631165368 2022-07-29 SMITH & SMITH ENDODONTICS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2567671882
Plan sponsor’s address 1910 BRUIN DRIVE, FLORENCE, AL, 35630
SMITH & SMITH ENDODONTICS, P. C. RETIREMENT PLAN 2020 631165368 2021-09-30 SMITH & SMITH ENDODONTICS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2567671882
Plan sponsor’s address 1910 BRUIN DRIVE, FLORENCE, AL, 35630
SMITH & SMITH ENDODONTICS, P. C. RETIREMENT PLAN 2019 631165368 2020-04-20 SMITH & SMITH ENDODONTICS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2567671882
Plan sponsor’s address 1910 BRUIN DRIVE, FLORENCE, AL, 35630
SMITH & SMITH ENDODONTICS, P. C. RETIREMENT PLAN 2018 631165368 2019-06-11 SMITH & SMITH ENDODONTICS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2567671882
Plan sponsor’s address 1910 BRUIN DRIVE, FLORENCE, AL, 35630
SMITH & SMITH ENDODONTICS, P. C. RETIREMENT PLAN 2017 631165368 2018-10-11 SMITH & SMITH ENDODONTICS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2567671882
Plan sponsor’s address 1910 BRUIN DRIVE, FLORENCE, AL, 35630
SMITH & SMITH ENDODONTICS, P. C. RETIREMENT PLAN 2016 631165368 2017-10-19 SMITH & SMITH ENDODONTICS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2567671882
Plan sponsor’s address 1910 BRUIN DRIVE, FLORENCE, AL, 35630

Signature of

Role Plan administrator
Date 2017-10-19
Name of individual signing E. WILDER SMITH
SMITH & SMITH ENDODONTICS, P.C. RETREMENT PLAN 2015 631165368 2016-07-22 SMITH & SMITH ENDODONTICS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2567671882
Plan sponsor’s address 1910 BRUIN DRIVE, FLORENCE, AL, 35630

Signature of

Role Plan administrator
Date 2016-07-22
Name of individual signing CAROL SMITH
Role Employer/plan sponsor
Date 2016-07-22
Name of individual signing CAROL SMITH
SMITH & SMITH ENDODONTICS, P.C. RETREMENT PLAN 2014 631165368 2015-09-22 SMITH & SMITH ENDODONTICS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2567671882
Plan sponsor’s address 1910 BRUIN DRIVE, FLORENCE, AL, 35630

Signature of

Role Plan administrator
Date 2015-09-22
Name of individual signing E. WILDER SMITH
Role Employer/plan sponsor
Date 2015-09-22
Name of individual signing E. WILDER SMITH
SMITH & SMITH ENDODONTICS, P.C. RETIREMENT PLAN 2013 631165368 2014-10-09 SMITH & SMITH ENDODONTICS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2567671882
Plan sponsor’s address 1910 BRUIN DRIVE, FLORENCE, AL, 35630

Signature of

Role Plan administrator
Date 2014-10-09
Name of individual signing CAROL SMITH
Role Employer/plan sponsor
Date 2014-10-09
Name of individual signing CAROL SMITH
SMITH & SMITH ENDODONTICS, P.C. RETIREMENT PLAN 2012 631165368 2013-09-12 SMITH & SMITH ENDODONTICS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2567671882
Plan sponsor’s address 1910 BRUIN DR, FLORENCE, AL, 356306717

Signature of

Role Plan administrator
Date 2013-09-12
Name of individual signing E. WILDER SMITH

Agent

Name Role
SMITH, E WILDER JR Agent

Incorporator

Name Role
SMITH, E WILDER JR Incorporator
SMITH, CAROL H Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State